THE STAGE IS YOURS
Application Form
Instructions
1. This form may take you 15 minutes to fill in.
2. No space in the form should be left blank (insert 'NA' or 'NIL' where applicable)
STATUS OF APPLICANT
Group
Individual
DETAILS OF PERFORMANCE
Title of performance
:
Nature of performance (please specify type eg Chinese opera, dikir barat, Indian dance, a cappella):
Music
Dance
Theatre
Duration of performance
5 mins
10 mins
15 mins
20 mins
Short description of performance/ list of performing items:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
For music or dance item, please attach the song lyrics
Short write-up of yourself/ the group (not more than 2000 Characters):
Preferred month of performance:
--Select Year--
2009
2010
2011
--Select Month--
Technical requirement (please state no. in all boxes or "NA" if not applicable):
Microphones (wired or wireless)
Microphone stands
Stage monitors
Microphone table stands
Keyboard
Drum Set
Tables
Chairs
MD player
CD player
PARTICULARS OF GROUP MEMBERS
Group’s Name
When was the group formed?
Clear
Name of Representative:
NRIC No:
Nationality:
Occupation:
Date of Birth
Clear
Gender:
--Select Gender--
Male
Female
Contact:
(H)
(O)
(Hp)
(email)
Address:
Particulars of ALL performers:
Name of members
NRIC No
Gender
(a)
--Select Gender--
Male
Female
(b)
--Select Gender--
Male
Female
(c)
--Select Gender--
Male
Female
(d)
--Select Gender--
Male
Female
(e)
--Select Gender--
Male
Female
For additional performers, please provide the details in separate list
Training attained:
Past experience:
from schools
from private organisations
self taught
from schools
in public
nil
PARTICULARS OF APPLICANT
Name of Applicant:
NRIC No:
Nationality:
Occupation:
Date of Birth
Clear
Gender:
--Select Gender--
Male
Female
Contact:
(H)
(O)
(Hp)
(email)
Address
:
Training attained:
Past experience:
from schools
from private organisations
self taught
from schools
in public
nil
DECLARATION
I certify that the information given above is to the best of my knowledge and belief, true and complete and I agree to abide by the terms and conditions governing this application.
I hereby undertake to indemnify the Organisers against all claims, losses, demands, actions, suits, proceedings, costs and expenses whatsoever which may be taken or made against the Councils in respect of any death, injury, disability or in respect of any damage or loss of property suffered or caused in the course of or in connection with my/our performance.